MEDICARE: DR. ERIKA M VEKTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5197100-9921	UT

General Provider Information

NPI Number	:	1801989603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIKA M VEKTER

Provider Business Mailing Address
First Line	:	201 E SOUTH TEMPLE APT 403
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84111-1281
Country	:	US
Telephone Number	:	801-550-5556
Fax Number	:

Provider Business Practice Location Address
First Line	:	168 N 1950 W
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84116-3085
Country	:	US
Telephone Number	:	801-715-3400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	11/30/2010

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